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(Asakura High School Class 2B Notice to Discuss Future Direction)
(Haruto's Schedule.)
(Contrast Exam Result, Pre-Op Exam, X-ray, ECG, Blood Test)
(Malignant Tumour Seminar September 5, 2018, Wednesday)
(2018 August Activity, Asakura High School)
(To Pediatric Cancer Patient and Family)
(Guide to Pediatric Cancer Future Conference)
(To Shota, heat in the microwave before eating. Mom)
Nurse Lin.
What's the matter, Ryohei?
It hurts.
My left hip suffered from the impact.
Iyo.
August is almost over.
To enjoy Heisei's last day of summer,
many families still gather at the beach and tourist spots.
It would also be hotter this week than the same period last year.
It's time for cartoons.
Haruto, I'm going home to get some clothes.
Do you want me to bring anything?
I want to eat apple jelly.
All right then.
I'll bring it for you soon.
Be good and wait for me.
Fireworks festivals would be held this weekend in various places.
People who want to make memories in the summer vacation...
will surely make the most of it.
We'll report the next news.
- Doctor, good morning. - Good morning. Don't run.
We're going to play with Rintaro now.
All right.
- Bye! - Bye!
It's dangerous. Walk slowly.
- All right. - All right.
Good morning.
Good morning.
I'm going home for a while.
Looks like it's going to rain. Can you help take the clothes in?
Haruto's mom seems to have stayed in the hospital last night too.
It seems Haruto came here from Nagano...
to be treated by Dr. Takayama.
That's right. The previous hospital couldn't figure out anything.
Does my son have cancer?
This is a very rare form of liver cancer.
But it can be treated.
- However... - Let's work hard together.
Dr. Takayama was able to find the cause of his illness.
- I want to move near the hospital. - What?
You need to work, so just stay here.
I'll bring Shota there too.
Please. As long as Haruto's illness can be cured,
I'm willing to do anything.
All right. Don't worry about me here.
Sorry.
It's hard for his brother too.
He must have transferred schools to get his brother treated.
Is this the destiny of a sick child's brother?
The sick child's brother?
Sometimes, that's what we'll call a sick...
or handicapped child's brother.
(To Shota, take care. Hiking Club Members)
(Even if you left Nagano, you're still one of us.)
(Contact us when you come back. Murai Ryo)
Illness is not just the patient's problem.
Sometimes, it would also change his family's lives.
However, they can let Dr. Takayama treat him since they moved here.
I can also understand his mom.
Dr. Takayama's surgery and diagnostic skills are outstanding.
Dr. Takayama is incredible. He can do everything.
And then? You just ran away?
Because I was too nervous.
It felt like my heart was going to come out from my throat.
That's not good. Let's perform ECG immediately.
It's fine. It's just love sickness.
I've never heard about that illness before.
- How can we cure it? - Love sickness...
is feeling very happy when you see the person you like.
There's no need to cure it.
You're finally welcoming the springtime of your life.
Stop it.
It's all right.
It's not springtime now. It's summer.
It's summer.
Mom.
Mom!
How do you feel? Do you feel uncomfortable?
I feel all right.
Doctor, I took all my medicines.
I'm a good kid, right?
Yes, you're especially good.
- As a reward, let me go out. - What?
This Sunday. Okay?
If you're going out, you need your attending physician's approval.
Then please help ask Dr. Takayama for me.
I really want to go out.
All right. I'll ask him.
Dr. Seto, can you come over for a moment?
All right.
Emergency Section contacted us.
They said Haruto's mom fell from the stairs.
- She's been sent to our hospital. - What?
(Good Doctor: Episode 8)
Mrs. Hayano, are you all right?
Sorry to worry you.
Good thing my brain doesn't seem to be affected.
Doctor.
Please help me tell Haruto that something happened at home.
So I can't go to him for the moment?
I don't want him to worry.
All right.
Thank you.
Take a good rest.
Okay.
Haruto's brother.
I'll bring you to his room.
Haruto must be really sad that he can't see his mom.
If he sees you, he'll feel at ease too.
You're so noisy.
Haruto's brother has thorns all over him.
He's like a cactus with thorns all over him.
He's in his rebellious stage. Everyone goes through it.
Well, I didn't.
I think so too.
- Thank you for your hard work. - You too.
Go out?
We just treated him with anticancer drugs.
He's susceptible to infection.
Sorry, but I can't allow him to go out.
As long as the surgery this month goes well, he can get discharged.
Tell him he has to wait until then.
All right.
(Pediatric Surgery Department Patient Total: 48)
If Chief's retirement goes smoothly,
the pediatric surgery department will also be eliminated.
If things go as planned,
the president will also be very happy, right?
Please don't kill the future of children.
Please.
Let's go.
- Rock, paper, scissors. - Rock, paper, scissors.
Look over there.
I won!
- Let's go to the Game Room. - Okay.
Darn!
Choko, that bastard! I hope you lose all your hair!
- Sir, you've had too much drink. - You're so noisy!
Why do you know?
I was scammed.
(Togo Memorial Hospital HR Reform Draft)
What's going on?
Didn't you prepare a department head level position for me?
That's the result after recruiting many suitable candidates...
suitable for the reform.
I'm hanging up.
Darn!
Dr. Mamiya also has thorns all over him.
Is he in his rebellious stage too?
I even bought a new car to celebrate.
Hey. What should I do?
Sir, do you know him? Take him home.
Who are you talking to?
(Togo Memorial Hospital In-Patient Pediatric Surgery, Hayano Haruto)
Doctor, I took all my medicines.
I'm a good kid, right?
As a reward, let me go out.
You must be working hard.
Haruto's enhanced CT scan result is here.
- Thank you. - I'll go ahead.
(Enhanced CT Scan Result of Hayano Haruto, male, seven years old)
I was also a good doctor before.
Dr. Mamiya, you're still a good doctor now.
There's no need to comfort me.
I don't have the skills like Takayama.
Regardless how hard I try, I can't become...
a doctor that everyone admires like him.
Dr. Mamiya is Dr. Mamiya. You're not Dr. Takayama.
What?
Your hand is full of old callouses.
You used this hand to perform many surgeries and saved many kids.
I want to have hands like yours soon too.
(Class 2B Ryosuke: We had so much fun today.)
(Let's go together next time.)
(I've already put the food in the fridge.)
(Looks like it's going to rain. Can you help take the clothes in?)
(Can you help buy apple jellies for Haruto tomorrow?)
What are you doing?
Shota.
Didn't the doctor ask you to rest?
It's fine to walk a bit.
Thanks for buying the jellies.
Mom.
Sorry. I wasn't able to come yesterday.
Your hat is so cute.
Thank you. It's a match with yours.
Mrs. Hayano.
Dr. Natsumi.
Have you asked for me about going out on Sunday?
What is it?
Haruto said he wants to go out this Sunday.
Regarding that,
Dr. Takayama said you can't go out yet.
Right now,
it is the key period of your treatment.
- So... - No!
I want to go out!
Haruto.
Haruto, you can go out anytime after you get well.
Mom, you lied.
You said I'd get something in return if I work hard.
I want to go out! Let me go out!
Enough!
Do you know how much the people around you...
are suffering because of you?
Shota.
You too, Mom.
Mom.
Mom got seriously injured because of you.
She almost died.
- What? - No, Haruto. I just...
Because you're sick, our family is a mess!
You can't be willful anymore!
Stop there!
- Is being sick all that? - What?
I've always just endured it.
Because of that boy, I have to transfer schools.
I have things I want to do too.
But you and dad always just talk about Haruto.
Shota.
It doesn't matter what happens to me, right?
No.
Then why don't you go home every night?
You only look for me when you need something and tell me to do things.
I didn't think that way.
I didn't choose to be that boy's brother.
Cry it out.
Crying can signal your brain...
to release endorphins, thus release stress hormones.
It can heal your heart.
Why do you want to go out that much?
He's right.
I only think about Haruto's illness.
I have no time for him.
Now that I'm injured too,
I'm causing him more trouble.
He has his own life too.
I think Shota just felt a bit lonely.
I have...
to work extra hard.
A sick or handicapped children's brother...
definitely endures a lot more than ordinary kids.
That's the reality.
I wasn't able to say...
words of comfort to Mrs. Hayano.
Because I think that whatever I say,
it'd just be all talk.
We can only do one thing.
And that is to treat and save people.
Once he's well,
the patient and his family can all be saved.
Yes.
By the way, how's Haruto's enhanced CT scan result?
I'm a bit concerned about the exam results.
Mom, I'm sorry.
It all happened because I'm sick.
What are you talking about?
Does your wound still hurt?
It doesn't hurt anymore.
Does my brother hate me?
How is that possible?
Mom.
I'll go to my friend's.
I'll be back right away.
There are indeed signs of tumour haemorrhage.
But if that's the case, there should be some symptoms.
If there's haemorrhage, we have to perform surgery immediately.
Perform the examination again.
Hi.
You're working hard.
Haruto, are you okay?
Haruto.
Haruto.
Haruto.
Haruto, please wake up.
Haruto!
Haruto.
Where's Haruto?
He went over to his friend's.
Is that so?
Is there something you want to talk about?
Can I have a little of your time?
Sorry.
Doctor.
Haruto...
He might be hiding symptoms...
such us vomiting blood and pain in his abdomen.
How can that be?
Did he take those words seriously?
Because you're sick, our family is a mess!
There's a possibility that there's tumour haemorrhage.
We need to perform another enhanced CT scan.
Dr. Seto, Haruto...
The tumour is haemorrhaging.
Go get Dr. Takayama now.
But he's performing surgery for another patient now.
We need to perform surgery right away.
If we don't extract the tumour, the bleeding won't stop. He'll die.
But who can perform the rhabdomyosarcoma extraction?
Nobody has the experience.
Haruto!
Doctor, Haruto will be fine, right?
Haruto!
Ma'am, please wait outside.
Perform blood transfusion.
Prepare five units of red blood cells...
and fresh frozen plasma.
Yes.
Hurry.
Yes. There's a doctor who can save him.
Please.
Please perform surgery for Haruto.
His tumour is haemorrhaging.
That patient's attending physician is Takayama, right?
It's none of my business.
Dr. Takayama Is performing surgery for another patient.
Only you can save him.
No, I can't.
I've never performed rhabdomyosarcoma extraction.
On November 15, 2015, you used the Pringle method...
to save a child with a ruptured liver.
That same method might also save Haruto.
- No. - You can do it.
You can surely do it.
Please.
Can you help me?
Doctor.
Why isn't Dr. Takayama performing the surgery?
Dr. Takayama is currently performing surgery for another patient.
But this is a very difficult surgery, right?
Please bring Dr. Takayama here.
Please save Haruto.
I'll perform the surgery on behalf of Takayama.
Dr. Mamiya.
Dr. Mamiya performed over 20 similar surgeries before.
He's a very outstanding doctor.
Can you really save Haruto?
I promise that I'll do my very best as a doctor.
Please.
Seto, Shindo, prepare the operating room.
- Yes. - Yes.
Haruto, don't worry. It'll be fine.
Hayano Haruto, seven years old. Please.
All right.
Ma'am, please wait here.
Dr. Shindo.
(Emergency Contact: Shota, 13. Born December 9, 2004)
(No medical history. Emergency contact number)
Come on baby America
Be my dream partner
Inspired! Come on, baby
Hello?
Haruto requires emergency surgery.
His tumour is haemorrhaging. He's in critical condition.
Please come to the hospital immediately.
Hey, Shota. What are you doing? Come on.
All right.
Shota?
Hello?
Shota?
Dr. Shindo, what are you doing? The surgery is about to start.
It's all right.
It's all right. Let's go.
It's all right. Okay? Let's go.
Let your smile and voice light up the world
Come on, let's go
Go straight to that heart
We're going to perform rhabdomyosarcoma extraction.
Yes.
- Scalpel. - Yes.
Tweezers. Gauze.
Tweezers. Electrosurgical scalpel.
The tumour infiltration area is large.
Based on the incision we made, we can't open the back of the liver.
What should we do?
Use the laparoscope to confirm.
No, the most practical way is to extend the incision to the back.
No.
We have to use the laparoscope at the same time.
- Laparoscope. - Yes.
Climb
The higher the mountain, the nicer the view waiting for you
Hey, let's sing.
Make your decision
There's always something waiting on top of a dangerous mountain
- Something unbelievable... - Sorry.
Sorry.
Blood pressure is dropping.
- Confirm bleeding rate. - Yes.
Inject vasopressors. Level his head.
- Yes. - Drainage.
Get the instruments for blood transfusion.
- Yes. - Shindo, stop the bleeding.
Haruto.
- Haruto. - Shindo!
Haruto.
Shindo, calm down.
No matter what happens, your eyes shouldn't leave the surgery area.
Yes.
I want to clip the tumour blood vessels.
Give me a curved hemostatic forceps.
Yes.
The tumour haemorrhage is increasing. We have to extract it soon.
- Yes. - Ultrasonic scalpel.
- Yes. - Seto, expand it.
Yes, give me a lever.
- Shindo, drainage. - Yes.
Doctor.
How's Haruto?
He's fine now. The surgery was successful.
Thank you.
Thank you so much!
That's great.
Thank you.
Sorry.
- Look where you're going. - Yes.
How nice.
Why didn't Dr. Mamiya extend the incision...
and used a laparoscope instead?
Around 3cm incision as a kid...
would probably become a 10cm incision as an adult.
Here.
If we use the laparoscope, the incision would be very small.
It would lessen the toll on the body as well.
That's why he did that.
Pediatric surgeons don't need to just save children's lives.
The children's future is also on our hands.
It's also very important...
to let the surviving children...
live a comfortable life as much as possible.
Dr. Mamiya is incredible. He's so cool.
That's Dr. Mamiya.
Yes.
I also want to become a pediatric surgeon like Dr. Mamiya.
Then you have to surpass me first.
Yes.
Old callouses from playing golf.
How nice. You're really incredible.
Bring me with you next time.
Look at that ball and stuff.
He'll be fine.
He'll be awake soon.
Because when you called me,
I thought he was going to die.
You scared me.
I was afraid I wouldn't see him again.
My legs were shaking.
I even said those awful things before.
What am I saying now?
Having someone to worry about...
is a very wonderful thing.
If you don't care about that person, you wouldn't worry.
He's precious to you. That's why you're worried.
Haruto is very precious to you.
Haruto was also very worried...
about everyone in the family.
Why do you want to go out that much?
I'm very lonely.
I think Dad, Mom,
and Shota are also lonely like me.
Every summer,
we'll watch the fireworks festival together.
When they see the fireworks,
Dad, Mom, and Shota would smile.
We promised to go together again.
But...
That's why he wanted to go out that much.
No.
I want to go out! Let me go out!
Enough!
Do you know how much the people around you...
are suffering because of you?
Your mom, you, and Haruto...
are all worried about each other.
You have a very warm and loving family.
Compared to being a healthy but selfish family,
I envy the kind of family that cares about each other...
even in sickness more.
General Affairs Head, please wait a moment.
Just a moment.
- Please. - Please make an exception.
- But... - Please.
Why can't we do it? Please tell me the reason.
- Even if you say that, I... - Please.
Please.
You can surely do it.
Take it.
Mrs. Hayano.
Can you come with me for a while?
Mom!
Honey.
- Let's do it together. - What?
I heard the doctors helped us get the permission.
Here, Mom.
Let's do it together.
Thank you.
I'm lighting it.
It's lit.
It's so beautiful.
It's coming.
It's so beautiful.
It's up in the air.
- How nice. - It's so high.
It's really beautiful.
It's great. Look.
Haruto. It's lit up.
- Look. It's lit up. - Give me one too.
This is great.
Haruto, it's red.
It's great. It's so beautiful.
- How nice, Haruto. - Look at that.
Haruto.
Sorry.
What?
I was harsh on you before.
It's fine.
You're in the rebellious stage like a cactus with thorns all over.
That's what Dr. Shindo said.
Is that so?
It's so beautiful.
- Haruto. - Yes.
Next year,
we're doing this together again.
Okay.
Yours is really big.
It really is.
Which one is bigger?
Mine is bigger.
Doctor.
Thank you very much.
It's fine.
Dr. Shindo said Shota asked him for a favour.
Doctor, Haruto...
I want him to see fireworks.
Please.
How can we let them play with fireworks in the hospital?
That's right. What if the hospital catches fire?
It's too troublesome to handle senseless complaints.
Someone taught me that pediatric surgeons...
can't just save children's lives.
I want to fulfill Shota and Haruto's wish.
They worked so hard. I want to give them a reward.
Please.
Shota wants to let Haruto see the fireworks.
We just helped him fulfill this wish.
Being sick is not only the patient's problem.
He also needs his family...
and us doctors to work hard with him.
So please don't worry. You can rely on us.
Mrs. Hayano.
Let's cure Haruto together.
Thank you.
Haruto, you had a lot of fun.
Haruto, was it nice?
Haruto.
Hey, what are you doing?
What kind of sparklers did you light?
The kind that's so much fun.
The kind that's so much fun? How nice.
Was it beautiful?
- It was really beautiful. - I see.
Mom!
Thank you very much, everyone.
Thank you.
Thank you.
You're welcome.
It's finally coming.
I really hope...
that the reform would be approved in tomorrow's board meeting.
What's the matter?
The reform would probably...
be approved in tomorrow's board meeting.
Is that so?
I know very well...
that this is wrong.
I just wanted to save this hospital.
But...
In this world,
there are some things that we can't do anything about.
This is not your fault.
I'm really very sorry.
Hey.
This is a rare opportunity. Do you want to try it?
(Hand-held Sparklers)
Hand-held sparklers can make four kinds of flowers.
They say that after it explodes, you'll see peonies.
When it becomes more intense, it will form into pine leaves.
When it's starting to die down, it will become willows.
In the end, it becomes scattered chrysanthemums.
You really know how to ruin the mood.
Shota and Haruto will be fine, right?
Even the cactus that's full of thorns would produce...
beautiful flowers as long as you water it with love.
The cactuses symbolizes a warm heart.
And Shota has a heart just like that.
So there would surely be no problem.
That's right.
It's so beautiful.
Listen to me.
I saw Ryohei at the canteen earlier.
Then he talked to me.
What? How nice.
My heart is beating so fast.
Iyo?
- Iyo. - Doctor.
Is she all right?
- Iyo. - Iyo.
- Iyo, are you all right? - Iyo.
- Iyo. - Iyo.
- Iyo. - Iyo.
How many times are you going to open up my stomach?
What do you mean his legs would always be numb?
I won't hand him over to your pediatric surgeons.
- We'll find a way to heal him. - Ryohei.
Ryohei.
He moved to the room next to you.
Are you encouraging me to pursue my love?
I heard you fainted. I was very worried about you.
It seems I still can't take care of her on behalf of our parents.
- Ryohei! - Ryohei.
Please save him.
I'll do my best.
I'm Iyo's attending physician. Let me handle it.
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